| NPI | 1396734547 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | No |
| Primary Taxonomy | 207RA0201X Internal Medicine Allergy & Immunology (Licence: CA A40664) |
| Additional Taxonomies | 207K00000X Allergy & Immunology (Licence: CA A40664) |
| 207KA0200X Allergy & Immunology Allergy (Licence: CA A40664) | |
| Enumeration Date | 2005-10-20 |
| Last Update Date | 2022-08-05 |